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As I’ve been seeing the flood of creativity and innovation that can be seen at the CES (Consumer Electronics Show) in Las Vegas, I’ve often been witness to the amazing things that are possible today that wouldn’t have been possible five years ago.There are so many examples of this happening throughout the IT world. A simple example is how many things are now possible with a mobile device that has always on mobile internet access (3G and 4G), an accelerometer, GPS, video camera, and voice recognition. 5 years ago we had little pieces of each, but now we have all of those items easily packed into one device. Think of the innovation that is happening that would have never happened if we didn’t have those technologies available.I started thinking about how this applies to healthcare. What things can we do now that we couldn’t do five years ago?Some of the technologies above are perfect examples of technology we have now that wasn’t available five years ago. A company like AirStrip Technologies wouldn’t even exist without the technologies mentioned above. Yet, because of those technologies, they’re now taking healthcare data mobile.Five years ago we were at a pitiful EHR adoption level (10-20% depending on who you talked to). Now we’re ...Read moreRelated posts:My EMR Market Share Projection – 50% in the Next 5 Years#NHITWeek Blog Carnival – How Will Health IT Make a Difference a Year from Now at the Next National Health IT Week?The Financial Implications of Skipping Years and Switching Incentive Programs – Meaningful Use Monday
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One of the things I hear people talk about all the time is how much time they spend charting in their EMR. There’s little question that doctors, nurses, and front desk staff’s lives revolve around an EMR when one is implemented in an office. However, the same was true with the paper chart.How many times have we hear doctors say, “I’ve got a stack of paper charts I have to finish.”? Or the phrase, “I’m drowning in charting.” It happened all the time even in the paper chart world. Why else would a doctor take a stack of paper charts home with them in their car. It wasn’t for some light reading at night. It was so they could catch up on their paper charting (yes, some took them home for their hospital rounds too).Don’t get me wrong here. I’m not saying that we should give inefficient and poorly designed EMR software a pass. Absolutely not! I am saying that far too many people forget how inefficient paper could be and how the charting and documentation requirements took a lot of time before EMR as well.In my EHR benefits series, I wrote about the efficiency benefits of Legible Notes and Accessible Charts. I’ve heard many doctors ...Read moreRelated Posts Think About the Problems with Paper Charting EHR Charting in Another Language 13 of 50 Reasons to get an EHR or EMR – Better Access to Data and Better Charting
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It’s time for the next installment in my series of posts looking at the long list of EHR benefits.Eligibility for Pay-for-PerformanceI think that this is a really scary topic for most doctors. It’s not that a doctor is afraid of being reimbursed for the way they perform. The problem with pay for performance (ACO if you prefer) is that we have no idea what that’s really going to look like. The unknown is scary and a real problem. A change as dramatic from fee for service to pay for performance is an enormous shift and we still have very little idea how that shift is going to happen.However, as one person told me, “That train (the shift to pay for performance) has already left the station.” In fact, I was talking with the former CEO of a major EMR vendor and he suggested that the shift is going to happen a lot faster than most of us realize. If we assume that this shift is going to happen, then doctors and healthcare better be prepared.I believe having an EMR will be the only way a clinic can participate in pay for performance.I make this assertion, because how else are payers going to measure your performance if they don’t have ...Read moreRelated Posts EHR Benefit – Legibility of Notes EHR Benefit – Transcription Costs Savings EHR Benefit – Eliminate Staff
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One of the most amazing shifts that we’ve seen in healthcare is the acceptance of the tablet form factor. I’ve been fascinated with tablets since they first came out. The idea was always great, but in implementation the idea always fell apart. Many a sales rep told me how the tablet was going to be huge for healthcare. Yet, everyone that I know that got one of the really early tablets stopped using it.Of course, the tablets that I’m referring to our the pre-iPad tablets. As one Hospital CTO told me at HIMSS, “the iPad changed tablets.”It’s so true. Now there isn’t even a discussion of whether the tablet is the right form factor for healthcare. The only question I heard asked at HIMSS was if a vendor had a tablet version of their application. In fact, I’m trying to remember if I saw a demo of any product at HIMSS that wasn’t on a tablet. Certainly all of the EHR Interface Improvements that I saw at HIMSS were all demonstrated on a tablet.As an extension of the idea of tablets place in healthcare, I was also interested in the healthcare CTO who suggested to me that it’s possible that the Windows 8 tablet could be the platform ...Read moreRelated posts:EMR Uptake, Windows 8 Based Tablet, and Medical Errors – Around HealthCare SceneWill Windows 8 Kill Physician iPad EHR Requirement?Tablet Handwriting Recognition
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One of the companies I met in New York City at the Digital Health Conference was MedCPU. I had a great time talking with the effervescent Founder and President, Sonia Ben-Yehuda and the Founder and CEO, Eyal Ephrat, MD. MedCPU is part of the inaugural New York Digital Health Accelerator class. Plus, they’ve created a pretty interesting concept and way to simplify their message down to a single button that analyzes both free text notes and structured data to check for compliance to best practice guidelines or for deviations from expected care.The idea of a single button that does all the work is a decent one. Sure, real time analysis is good as well, but EHR software isn’t there yet and won’t be for a while to come. Very few EHR seem to be offering real time meaningful use compliance checking. Forget about real time clinical compliance checking.What I found even more interesting was something that MedCPU told me when they were describing their product. Dr. Ephrat told me that one hospital was using the services MedCPU provides as the benefit that doctors will receive for using EHR. I find this concept quite interesting. I won’t belabor the point that EHR is the database of healthcare, but it’s amazing ...Read moreRelated posts:EMR Benefit You Wouldn’t ExpectStudy Shows Little Benefit from EMR in HospitalsWill An EMR Provide Better Patient Care?
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REGISTER NOW!! I’m really excited to announce the second annual New Media Meetup at HIMSS 2011. Last year’s event was pretty amazing in Atlanta and I expect this year’s will be just as good and with a whole bunch of interesting new and old faces. It’s one of the most interesting networking events that I [...]Related posts:Tuesday New Media Meetup at HIMSS Sponsored by MxSecure After last night’s great New Media Meetup Kick off event,...Colbie Caillat to Perform at New Media Meetup During HIMSS Side Note: I’m still looking for 1 or 2 more...2010 New Media Meetup at HIMSS Registration The 2010 New Media Meetup at HIMSS is complete. Thanks...
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As long as I’ve been blogging, I’ve been quite interested in the various EHR selection tools that are available out there. For a while, it seems like there was a new EHR selection tool coming out every week. The frenzy of EHR selection tools has mostly stopped and only a few major ones remain. One of those is EHR consultant (Full Disclosure: Has been an advertiser on EMR and HIPAA for many years) which has been doing this as long as anyone and has one of the most comprehensive EHR databases out there. The other that has lasted all this time is EHR Selector. Then, to round out the various EHR selection websites, there are the websites out there like Medical Software Advice and even the AAFP offers a tool to help in EHR selection (only available for AAFP members).As I suggest in my e-Book on EMR selection, I think you should take advantage of multiple EHR selection tools. I call it triangulating the data since none of them our comprehensive with the EHR world is changing so quickly. So, you take all of the data and triangulate down to the best EHR possible.Many might wonder why I’m talking about EHR selection anyway. Well, if you’re being generous, we’re somewhere ...Read moreRelated posts:EMR Pricing Comparison WebsiteEHR Discussions Website by e-MDsHHS HIT Website
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UPDATE: Excuse the personal reminiscing. Sometimes I just can’t resist. There will be more great EMR content tomorrow for those who don’t care for this type of post. Let’s just say that’s a lot of pageviews. It’s pretty humbling and demanding to think how many people have read and will read what I write on [...]Related posts:8 Million Virginia Patient Records for $10
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